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ll <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />. <br />Everett ............ ........ ................. ....�-r................... ID G.y <br />• _ <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />Si <br />"' <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Water Department, for purposes and fixtures staled below. <br />During the time that the <br />t: <br />any of water mains may be taken up by reason <br />improvements <br />of any authorized by the City of Everett, in or of any street or <br />alley In they have been <br />which may laid, the C y will not be required to furnish <br />water during the progress of such Improver :nts to any consumer whose sup• <br />ply may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No,l:.:...:.�............ <br />9: <br />i <br />Block........................................ Lot.......`.r...... ................. Add ............. .......... ......... _...... <br />No...... . .......'..f.'...f:.'..:...3 ....t..... ........Street <br />a .. The work to be executed by . ....................rJ <br />, ...... J ......y.7i Plpmber <br />r f Stale size of tap. <br />�'.: • ......Tap to be inserted In the main. <br />-, ................Water closet <br />................Bath <br />e <br />'�•'-- ................Urinal <br />............... Plain faucet inside <br />✓ <br />�•; ................Side walk washer <br />.....Bose bib outside <br />................Hose bib for building purposes <br />/Q O <br />................Hose bib inside <br />................Bib for stable containing.•... ..............stall.................... <br />•� ................Nu. tber of persons In family <br />................Number of rooms In building <br />The premises are to be used as a.......... : t.....,..., <br />. ...................__...... <br />The owner of the premises Is. ... .__........o..a.r....l.l.....f...�.f. <br />(.''. �..!. ...... <br />111111 <br />Theagent Is .................................. <br />......___._. <br />_. <br />' <br />This application, althau s ad-: hall not <br />a binding upon t City, until <br />accepted by the Superinten ie Water D par ent. <br />Signc ..........Y................... <br />...... ......Applicant <br />Accepted... ... _..................................1........................................................... <br />Superintendent. <br />